Voorbeeldvragenlijst





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[Voortgangsbalk]
3% 


Questionnaire


Introduction

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13% 


Part I Open-ended Questions


1
What is your name?
Please provide your full name (lastname and firstname)

2
How old are you?

3
Please describe your day so far?

4
Please answer the questions below?
Name
Address No. Add contact.
Gendermalefemale
Birthdate
Country

5
Please fill out the missing gaps
Today I woke up atand for breakfast I hadsandwiches anda glass of milk.
Yesterday I woke up atand for breakfast I hadsandwiches anda cup of coffee.



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Part II Closed-ended Questions: Multiple Choice


6
What is your gender?

7
What kind of food do you like best?







8
Where would you like to go on holidays?

9
Please enter your voucher:


10
Please select an option from the list below.





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60% 


Part III Closed-ended Questions: Scales & Matrixes


11
Please answer the statements below.
First answer whether you agree or disagree, and secondly if the statement is important to you.
Opinion
Important
DisagreeAgreeNot importantVery important
1
2
3
4
5
6
7
I eat meat at least every other day
I eat fish at least once a week
Other:

12
What ingredients belong to which dishes
Please tick the applicable boxes, you can tick multiple boxes and use ingredients more than once.
EggAppleSalmonChickenCheese
Caesar salad
Waldorf Salad

13
Please indicate your preference for the kind of food:
21012
fish
meat
chicken
beef
vegetarian
fish
beef
fish
vegetables
meat

14
Please put in order of your preference.
Click on an item an drag it up or down.
milk 
tea 
coffee 
orange jus 
cola 
water 

15
What is the composition of your average dinner?
Chicken %
Beef %
Pork %
Fish %
Vegetarian %
   / 100 %

16
Do you think the foods below are healthy?
yes
no
Beef
Chicken
Fish
Pork



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87% 


17
Please make sure to answer the questions on this page with the time limit.

240

[Meet de begin- en eindtijd]

Please look at this amazing video of stop-motion artist Rogier Wieland.

visit the website of rogier wieland



Bedanktekst



Thanks a lot for your co-operation!


Alternatieve eindteksten
(enkel te bereiken via routering)

Thanks for your co-operation. However you do not belong to the target population of this research.